迢迢自若指间长。倘带搏坚便失常。（长脉在春。乃肝脉也。软弱如揭长竿末稍。曰肝平。实而滑。如循长竿。曰肝
病。按长则气治。若应指搏坚。而不 弱。则气不治矣。）伤寒传变。阳明可评。（伤寒二三日脉长。目痛鼻干不得眠。
阳明病也。）左寸足疼舌卷缩。（经曰。寸口脉长曰足胫痛。按左寸心为阳。主血脉。长立有余之病。上余有则下不及。
血脉不通。故足肿痛。肾脉挟舌本。舌为心病。心火盛则水急。水急则舌本缩。而舌卷不能言矣。）右寸分明呕血伤。（肾
主唾。其脉入肺中。循喉咙。血随火升。故唾血。）关中少气髀如折。（长本肝脉。木邪克土。故脾虚中气不足。肢内曰
髀。胃脉之所下。胃虚故脾痛如折。又脾有邪。其气亦留于两髀。）尺则腰痛不可当。（火盛则水衰。腰为肾府。肾空则
腰痛。）
本位不能及。缩缩其形短。（短则气病。若秋时肺脉短涩。乃平脉也。）滑短酒伤浮短嗽。寸主头疼尺腹满。（短主不
及之病。酒伤与嗽。则气不及也。上不及。则头疼。下不及。则腹满也。）
（内经谓之小。）濡（同 。）弱（脉经以浮细为 。沉细为弱。岂细脉无浮二候。独于不浮不沉候之乎。而内经何
以有沉细之说也。且经曰。脉弱以滑。是有胃气。滑者流利如深之谓。若以沉细为弱。则沉细如经之中。不能见滑矣。
且脉经既以沉细为弱。而论肺痿。何以又有浮弱之言乎。今据内经。以弦脉 弱为肝之。平脉。则所谓 弱者。无力之
谓。不得以浮细为 。沉细为弱矣。况 弱所主之病。大概与细同。今附于此。）
直 如丝细。劳伤损血气。（细主气血两虚。）身汗来。心慌至。（浮细属阴虚。多盗汗。沉细属阳虚。多自汗。汗多
心虚故慌。）寸须呕吐关须胀。（脾胃虚寒。上则呕吐。下则腹满。）尺属骨蒸痢与痹。（骨蒸。久痢。皆属肾虚。故脉细。
痹为寒湿之阴邪。故脉亦细。）
The pulse feels long and leisurely under the fingers. If it carries a firm, beating quality, it deviates from normal. (A Long Pulse appears in spring and corresponds to the Liver Meridian. A soft and weak pulse, resembling the tip of a long bamboo pole held loosely, indicates a healthy Liver. A solid and slippery pulse, like stroking a rigid long pole, indicates Liver pathology. Generally, a Long Pulse signifies regulated Qi; however, if the pulse feels firm and hard upon pressure without softness, it indicates disordered Qi.)
When Shaoyang disease transmits, one can evaluate involvement of the Yangming stage. (If, two or three days after the onset of Cold Damage, a Long Pulse appears accompanied by eye pain, nasal dryness, and insomnia, this is Yangming disease.)
A Long Pulse at the Left Cun position suggests foot pain and tongue retraction. (The Classics state: "A Long Pulse at the Cun Kou indicates pain in the lower legs." Anatomically, the Left Cun corresponds to the Heart, which governs Yang and controls the blood vessels. A Long Pulse represents an excess condition. Excess above leads to deficiency below, causing obstruction in the blood vessels, resulting in swollen and painful feet. The Kidney meridian surrounds the root of the tongue, and the tongue is linked to the Heart. When Heart Fire is excessive, Kidney Water becomes depleted and agitated. This depletion causes the root of the tongue to retract, leading to tongue retraction and inability to speak.)
A distinct Long Pulse at the Right Cun position indicates injury from vomiting blood. (The Kidneys govern saliva. Their meridian enters the Lungs and follows the throat. Blood rises with the fire, leading to hemoptysis or spitting of blood.)
A Long Pulse at the Guan and Zhong positions indicates shortness of Qi and pain in the thighs as if broken. (The Long Pulse originally belongs to the Liver. Wood pathogen overacting on Earth leads to Spleen deficiency and insufficiency of Middle Qi. The inner part of the limb is called "Bi" (thigh), which is traversed by the Stomach meridian. Stomach deficiency causes Spleen pain feeling like a break. Furthermore, when the Spleen harbors pathogens, their Qi also remains in both thighs.)
A Long Pulse at the Chi position indicates unbearable lower back pain. (Excessive Fire leads to deficient Water. The waist is the mansion of the Kidneys. Kidney emptiness results in lower back pain.)
The pulse fails to reach its proper position, appearing contracted and short—this is a Short Pulse. (A Short Pulse indicates Qi pathology. However, a short and choppy Lung Pulse in autumn is considered a normal pulse.)
A Slippery-Short pulse indicates alcohol damage; a Floating-Short pulse indicates coughing. A Short Pulse at the Cun position primarily causes headache; at the Chi position, abdominal fullness. (The Short Pulse mainly indicates conditions of insufficiency. Alcohol damage and coughing reflect insufficient Qi. Insufficiency above causes headache; insufficiency below causes abdominal fullness.)
(Referred to as "Small" in the *Nei Jing*.) Ru (Soft) pulse (Same as "Ruan"). Ruo (Weak) pulse (*Mai Jing* defines Floating-Fine as Ru and Deep-Fine as Ruo. Does the Fine pulse lack a floating phase? Is it only examined where it is neither floating nor deep? Why does the *Nei Jing* mention deep-fine? Moreover, the Classics say: "A weak and slippery pulse indicates Stomach Qi." Slippery means flowing smoothly and deeply. If deep-fine were defined as weak, the slipperiness would not be visible within the deep-fine quality. Also, since *Mai Jing* defines deep-fine as weak, why does it mention floating-weak when discussing Lung Atrophy? Based on the *Nei Jing*, a string-taut and weak pulse is the healthy pulse for the Liver. Therefore, "weak" here refers to lack of force. One cannot define floating-fine as Ru and deep-fine as Ruo. Furthermore, diseases governed by Ru/Ruo are generally similar to those of the Fine pulse. This is appended here.)
Fine as a straight silk thread indicates damage to Blood and Qi from overwork. (The Fine Pulse mainly indicates dual deficiency of Qi and Blood.)
Sweating occurs, followed by palpitations. (Floating-Fine belongs to Yin deficiency, often presenting with night sweats. Deep-Fine belongs to Yang deficiency, often presenting with spontaneous sweating. Excessive sweating depletes Heart Qi, causing palpitations.)
Fine pulse at the Cun suggests vomiting; at the Guan, distension. (Spleen and Stomach deficiency-cold leads to vomiting upward and abdominal fullness downward.)
Fine pulse at the Chi indicates bone-steaming fever, chronic dysentery, and Bi syndrome. (Bone-steaming and chronic dysentery belong to Kidney deficiency, hence the Fine pulse. Bi syndrome is caused by cold-damp Yin pathogens, hence the Fine pulse as well.)